ONE CROSS HEALTH CLINIC INC (NPI# 1942606454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942606454 |
| Entity Type | Organization |
| Organization Name | ONE CROSS HEALTH CLINIC INC |
| Practice Address |
102 Winston Way Ste 5 Campbellsville KY 42718-4991 |
| Practice Telephone | 2707890034 |
| Practice Fax Number | 2707890097 |
| Mailing Telephone | 2707890034 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | MRS. KIMBERLY ROSE MCKENNA (PRESIDENT) |
| Authorized Official Telephone | 2704031106 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 3004091 | KY | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Street Address |
102 WINSTON WAY STE 5 |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-4991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295810786 | Kimberly Rose Mckenna | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2006-10-25 |
| 1265039309 | Melissa Simpson | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2020-10-01 |
| 1700415320 | Heather Loy | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2020-04-06 |
| 1740821347 | Misty Renee Curry | Social Worker | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2019-10-04 |
| 1447710314 | One Cross Community, Inc. | Counselor | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2019-03-25 |
| 1215404082 | One Cross Community | Clinic/Center | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2018-10-30 |
| 1356896211 | Brittanie Landis | Social Worker | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2016-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.